Benjamin Andrew, M.D.
Individual provider Active NPI Surgery Physician · Summit, WI
NPI 1083000863 · NPPES record last updated Nov 6, 2024
Key facts
- NPI
- 1083000863
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 66692-20 (WI)
- Practice address
- 36500 Aurora Dr
Summit, WI 53066-4899 - Phone
- (262) 434-1000
- NPI assigned
- Apr 8, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Chicago College of Medicine and Surgery, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aurora Medical Group, Inc.
Practice addresses (Care Compare)
36500 Aurora Dr
Summit, WI 53066-4899
Phone (262) 434-5000
Hospital & facility affiliations
- Aurora Medical Center - Summit
- Aurora St Lukes Medical Center
- West Allis Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 18 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200812003463 | WI | Practitioner - General Surgery | 2264741552 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66692-20 | WI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gundersen Lutheran Medical Center, Inc | Current |
Accepting new patients | |
| Aurora Medical Group, Inc. | Current |
Accepting new patients | |
| Moundview Memorial Hospital & Clinics, Inc. | Current |
Accepting new patients | |
| Gundersen Lutheran Express Care, Inc | Current |
Accepting new patients | |
| Moundview Memorial Hospital & Clinics, Inc | Current | Accepting new patients | |
| Dean Health Systems, Inc | Current |
Accepting new patients | |
| Gundersen Lutheran Medical Center, Inc | Current |
Accepting new patients | |
| Dean Health Systems, Inc. | Current |
Accepting new patients | |
| Moundview Memorial Hospital & Clinics, Inc. | Current |
Accepting new patients | |
| Gundersen Clinic LTD | Current |
Accepting new patients | |
| Aurora Medical Group, Inc. | Current |
Accepting new patients | |
| Gundersen Lutheran Medical Center Inc | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Locations
1818 N Meade St
Ste 240W
Appleton, WI 54911
707 14th St
Baraboo, WI 53913
Phone (608) 356-1400
402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287
1836 South Ave
#301
La Crosse, WI 54601
1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102
600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
855 S Main St
Ste 1
Oconto Falls, WI 54154
Phone (920) 846-8187
3111 Gundersen Dr
Onalaska, WI 54650
Phone (608) 775-8100
36500 Aurora Dr
Summit, WI 53066
Phone (262) 434-1000
501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181
505 Gopher Dr
Tomah, WI 54660
Phone (608) 372-2181
Interoperability endpoints
- bandrew371392@ewd.direct.hshs.org
- bandrew291784@direct-ehr-ssmhc.com
- bandrew304938@direct.gundersenhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 66692-20 | WI | Yes |
Addresses
Primary practice location
36500 Aurora Dr
Summit, WI 53066-4899
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other practice location 1
1860 Shawano Ave
Green Bay, WI 54303-2667
Phone (920) 496-4700
Other practice location 2
707 14th St
Baraboo, WI 53913-1539
Phone (608) 356-1400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083000863 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bandrew371392@ewd.direct.hshs.org | Direct | |
| Direct Messaging Address | bandrew291784@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | bandrew365845@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Other providers in Summit, WI
- Jacqueline Moore Akert
- Jihan Akhtar Bhikhapurwala
- Tulay Aksoy
- Inna Alexandrovna Allen
- Steven S Andrews
- Karina Mae Arkush
- Muddasir Ashraf
- Aurora Advanced Healthcare Inc
- Aurora Health Care Southern Lakes, Inc.
All providers in Summit, WI · Surgery Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.